Reduction and Fixation of Displaced Radial Neck Fractures by Closed Intramedullary Pinning

Jp, Metaizeau; Lascombes, P.; Jl, Lemelle; Finlayson, D; Prévot, J

doi:10.1097/01241398-199305000-00015

Cited by 228 publications

(216 citation statements)

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“…The second method is similar to the first, but a K-wire is used to penetrate the fracture line, and the operator then elevates and reduces the radial head, removes the K-wire or uses the wire for fixation [4,7]. The third method, designed by Metaizeau, involves the insertion of a specially designed long wire into the marrow cavity of the radius and then towards the radial head for reduction [11]. Our technique is similar to the second method described above.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Reduction and Fixation Using Two K-wires In Paediatric Angulated Radial Neck Fractures

Tanagho

Ansara

2016

J Hand Microsurg

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Background: Fractures of the radial neck in children are usually seen at about the age of five years, after the appearance of the proximal radial epiphysis. They are usually caused by a fall on the outstretched hand which produces a valgus strain [1]. Minor degrees of angulation can be accepted and treated conservatively, but advice on the maximum acceptable angulation varies widely, up to as much as 45°0 [2] More severely angulated and displaced fractures have been variously treated by closed or open reduction, but the precise indications for each are not clear [3]. In a retrospective study Steele et al. found that open reduction generally had a poor result and that open reduction with internal fixation was even worse, as has been reported by others [4,5]. Methods: We describe a modified percutaneous technique using two (1.6 mm) Kwires for reduction (one wire for leverage and one wire for translation) and two K-wires for rotationally stable fixation. Results: Nine patients were included in the study. The median age of the patients was 9.6 years. There were six males and three females. The average follow up period was 23 months. The final results of the study included six patients with excellent results and one with a good result. Unfortunately, two patients were visitors and failed to attend for review. Conclusion: We have found this technique effective and easily reproducible. Level of evidence IV -Case series.

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Section: Discussionmentioning

confidence: 99%

Percutaneous Reduction and Fixation Using Two K-wires In Paediatric Angulated Radial Neck Fractures

Tanagho

Ansara

2016

J Hand Microsurg

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“…Za pew nia ły one do brą sta bi li za cję zła ma nia i elimi no wa ły ko niecz ność po now ne go ho spi ta li zo wa nia pa cjen ta w ce lu usu nię cia ma te ria łu ze spa la ją ce go. W przy pad ku zła ma nia szyj ki ko ści pro mie nio wej, po my sło daw cy sta bi li za cji we wnątrz sz pi ko wej elastycz ny mi gwoź dzia mi ty ta no wy mi (ESIN) Me ta izeau i Pre vot, sto so wa li za mknię tą re po zy cję i sta bi liza cję prę tem wpro wa dzo nym do dy stal nej czę ści ko ści pro mie nio wej [23]. Za pew nia ło to wy star cza ją ce unieru cho mie nie odła mów zła ma nia i po zwa la ło uzy skać do bre wy ni ki le cze nia [24].…”

Section: Discussionunclassified

“…In radial neck fractures, Metaizeau and Prevot, the origi nators of intramedullary stabilization with elastic titanium nails (ESIN), used closed reduction and sta bilization with a rod inserted into the distal radius [23]. This provided sufficient immobilization of bone fragments and led to good treatment outcomes [24].…”

Section: Wnio Skimentioning

confidence: 99%

Operative treatment of radial neck fractures in children

Matuszewski

Kałakucki²,

Ciszewski³

2012

Ortopedia, traumatologia, rehabilitacja

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STRESZCZENIEWstęp. Ura zy oko li cy sta wu łok cio we go na le żą do czę stych uszko dzeń na rzą du ru chu u dzie ci. Spo śród nich zła ma nia bli ższe go od cin ka ko ści pro mie nio wej cha rak te ry zu je ró żno rod ność za sto so wa nych me tod le cze nia oraz ist nie ją ce ry zy ko po wi kłań.Cel pra cy. Pre zen ta cja ro dza jów i wy ni ków le cze nia zła mań bli ższe go od cin ka ko ści pro mie nio wej u dzie ci. Ma te riał i me to dy. Ba da nia opar te są na da nych uzy ska nych z hi sto rii cho rób 28 pa cjen tów le czo nych w latach 2006-2010. Ana li za ma te ria łu kli nicz ne go obej mo wa ła sto pień prze miesz cze nia odła mu, wiek, płeć pacjen ta oraz ro dzaj i wy nik za sto so wa ne go le cze nia ope ra cyj ne go.Wy ni ki. Na pod sta wie ob ser wa cji kli nicz nej obej mu ją cej okres 2-5 lat od za bie gu ope ra cyj ne go przed stawio no ro dza je i wy ni ki za sto so wa ne go le cze nia ope ra cyj ne go.Wnioski. 1. Zła ma nia szyj ki ko ści pro mie nio wej u dzie ci do ty czą głów nie pa cjen tów w wie ku mło dzień -czym i wcze snosz kol nym, a li nia zła ma nia roz cią ga się w ob rę bie chrząst ki wzro sto wej. 2. Uzy ska ne wy ni ki le cze nia po zwa la ją na stwier dze nie, że za mknię ta re po zy cja zła ma nia szyj ki ko ści pro mie nio wej ze śród sz pi kową jej sta bi li za cją (ESIN) skut ku je bra kiem po wi kłań i wcze śniej szym po wro tem ru chów w sta wie łok cio wym. Słowa kluczowe: złamania, kość promieniowa, dzieci SUMMARYBackground. Injuries to the ulnar joint area are common musculoskeletal injuries in children. Among them, proximal radial bone fractures are characterized by a variety of treatment methods applied and a risk of complications.Objective. The aim of the present paper is to present the types and treatment results of proximal radial bone fractures in children.Material and methods. The present study is based on data obtained from the medical histories of 28 patients treated in the years 2006-2010. The clinical parameters analysed included the extent of bone fragment displacement, age and sex of the patient, and type and result of the operative treatment.Results. Types and results of the operative treatment are presented based on post-operative clinical followup of 2 to 5 years.Conclusions. 1. Paediatric radial neck fractures occur primarily in adolescents and children at early school age, and the fracture line extends within the growth plate area. 2. The treatment results allow us to conclude that closed reduction of a radial neck fracture with in tramedullary stabilization (ESIN) eliminates com plications and provides for earlier restoration of the range of motion in the ulnar joint.

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“…12,13 Satisfactory reduction may not be achieved consistently, and because the K-wires are removed immediately after, dislocation can recur. 7,[14][15][16] Formal fixation of these fractures is preferable, and closed intramedullary pinning (CIMP), as proposed by González-Buendia et al 17 and Métaizeau et al, 7 combines non-invasive closed reduction with internal fixation fulfilling both requirements. We report our results obtained since November 1994 when we began to use CIMP instead of open reduction and transcondylar fixation.…”

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confidence: 99%

“…The head of the radius and its blood supply can be damaged by the injury itself and by surgical manipulation such as in open reduction. [2][3][4][5][6][7][8][9][10][11] As a result, closed techniques using percutaneous Kirschner (K-) wires have been developed. 12,13 Satisfactory reduction may not be achieved consistently, and because the K-wires are removed immediately after, dislocation can recur.…”

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confidence: 99%